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Фундаментальная и клиническая медицина

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ГИГИЕНА РУК В МЕДИЦИНСКИХ ОРГАНИЗАЦИЯХ

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Аннотация

Гигиена рук - обязательный компонент снижения риска передачи возбудителей внутрибольничных инфекций в медицинских организациях. Всемирная организация здравоохранения (ВОЗ) инициировала проведение глобальной кампании по гигиене рук с целью снижения инфекций, связанных с оказанием медицинской помощи. В соответствии с пятью важнейшими элементами гигиены рук дезинфекция рук спиртсодержащими препаратами является средством выбора. Переносимость кожей этих препаратов обычно высока, если в них добавлены смягчающие компоненты. Мытье рук водой должно быть исключено, кроме ситуаций видимого загрязнения рук или контаминации их бактериальными спорами, например, C. difficile. Обычно используется жидкое мыло, при этом антимикробное мыло преимуществ не имеет. Предоперационная подготовка рук считается идеальной в случае использования спиртсодержащих антисептиков. Добавление биоцидных агентов с персистирующей антимикробной активностью не требуется, так как может повышать раздражение кожи, аллергические реакции и приводить к формированию резистентности к антимикробным средствам. Мытье рук хирургов с антимикробным мылом все больше и больше уходит в прошлое, так как обработка рук спиртсодержащими антисептиками значительно быстрее (1,5 мин) и бережнее для кожи рук. В соответствии с рекомендациями ВОЗ такой подход к гигиене рук поможет предотвратить инфекции, связанные с оказанием медицинской помощи, и снизить стрессовую нагрузку на кожу медицинских работников.

Об авторе

Г. . Кампф
Медицинский университет Грайсвальда, Институт гигиены и медицины окружающей среды
Россия


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Для цитирования:


Кампф Г... ГИГИЕНА РУК В МЕДИЦИНСКИХ ОРГАНИЗАЦИЯХ. Фундаментальная и клиническая медицина. 2018;3(4):60-72.

For citation:


Kampf G. HAND HYGIENE IN PATIENT CARE. Fundamental and Clinical Medicine. 2018;3(4):60-72. (In Russ.)

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